Catching Our Stutters

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Catching Our Stutters
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Desensitization Strategies

• Hard versus Easy Contacts
• Hard-Easy-Regular
• Negative Practice
• Three-Way Contrast Drills (Triads)
• Reduction of Avoidance Behaviors
• My Pet Rock
• Drawing your Stutter
• Reducing the Repetitions
• Shortening the Prolongations

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Building Rooms

• Identify strategies for implementation that meet
  individual student needs
• Empower the child through choice making and
  active involvement in decisions and
• Practice strategies through various activities to
  enhance transfer and maintenance.

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Process for achieving these goals

• Understand the change process and identify
  factors which influence the ability to change
• Learn about teasing and the reaction cycle
• Become involved in active problem solving
• Develop openness and aggressive, nonavoidance
  behaviors
• Utilize voluntary stuttering in everyday
  situations
• Learn, practice, and implement the strategies of
  cancellations and pullouts
• Learn to recognize and change negative self-talk
  and other cognitive behaviors that impact the
  achievement of therapy goals and
• Learn to recognize, accept and change, when
  appropriate, the feelings experienced with
  stuttering.

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Room Strategies

• Speech Assertiveness and Openness
• Voluntary Stuttering
• Cancellations
• Pullouts and Freezing
• Facilitate Awareness and Monitoring

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Skill Building

• Identify strategies for implementation that meet
  individual student needs
• Empower the child through choice making and
  active involvement in decisions and
• Practice strategies through various activities to
  enhance transfer and maintenance.

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Skill Building Strategies

• Speech Assertiveness and Openness Taking Risks
• Voluntary Stuttering
• Cancellations
• Pullouts and Freezing
• Facilitate Awareness and Monitoring (Triads)
• Easy Onsets and Phrasing

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My Speech Gauge

• I can use my speech strategies when I
• Say words in isolation ____
• Say a phrase connecting my words ____
• Make up a short sentence about a picture ____
• Make up a long sentence using two or three
  chunks ____
• Name 5 items that go in a category ____
• Tell 5 characteristics of an item ____
• Tell how two things are the same ____
• Tell how two things are different ____
• Make up a story about this item ____

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Games for Choice Making

• Fluency Yahtzee A Game of Choice Instructions
  and visual aids can be obtained by accessing the
  2006 ISAD (International Stuttering Awareness
  Day) Online Conference or send your request to
  ebennett_at_elp.rr.com.
• Colorama
• Outburst Jr.
• Sequence
• 20 Questions
• Video Clips

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The Roof of fluencyMaintaining Progress

• Establish a regular maintenance plan
• Understand the concept of relapse and its role in
  the disorder of stuttering and
• Developing a relapse prevention plan.

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Process for achieving these goals

• Provide choices
• Develop homework routines and
• Planned therapy activities that enhance
  automatization of skills.

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Progress Summary

• Progress Report for MA
• Period of Treatment January 2000-April 1, 2001
• Current Goals of Treatment
• Increase length and complexity of sentences
  produced in a smooth, easy manner
• Improve ability to utilize a variety of speech
  modification tools
• Eliminate word avoidances and substitutions and
• Increase number of openness tasks performed on a
  weekly basis.

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• Skill
• Proficiency (5 point scale 1poor 2weak
  inconsistent 3developing 4established skill
  5 good performance)
• Comment

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1poor 2weak inconsistent 3developing
4established skill5 good performance)
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1poor 2weak inconsistent 3developing
4established skill5 good performance)
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Conclusion

• Understanding the process of therapy helps both
  students and clinicians make progress
• The House that Jack Built provides the major
  components necessary for modifying stuttering
• Students and clinicians must know the rationale
  for speech modification strategies to use them
  effectively and efficiently
• Having a variety of activities which engage
  clients in the change process makes therapy FUN!

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For further information, please contactEllen
M. Bennett, Ph.D., CCC-SLPSpeech Language
PathologistBoard Recognized Fluency
SpecialistSpeech Therapy Group109 S. Festival
DriveEl Paso, Texas 79912915-845-8787ebennett_at_
elp.rr.com